Q) Not true about amoebic liver abscessa) Most common liver enzyme elevated is ALTb) Metronidazole and luminal amebicide needed in all casesc) In peritonitis due to amoebiasis perforation of colon are less than perforation of liverd) 5% to 15% of patients with ALA may be resistant to metronidazole

AnswerThe cecum is the most common site of amebic colitis, and the right lobe of the liver is more commonly affected because of drainageof the right portal branch from the right side of the colon. The condition usually starts as diffuse amebic hepatitis; liver cellsundergo liquefactive necrosis,Read on for answer - Need Premium Membership

Q) Absolute contraindication for left lobe LDLT isA. Trifurcation of the portal veinB. Bifurcation of portal vein in the right lobe of the liverC. Aberrant right hepatic arteryD. Right Posterior duct draining into left hepatic duct

ANSWER d

Trifurcation of portal vein is not a contraindication of left lobe liver transplant as we will get a single portal vein on the left side

Portal vein

Bifurcation of portal vein in right lobe does not matter because we are leaving the right lobe behind

Again right aberrant artery does not matter because that segment is left behind

Right post duct draining into left duct gives rise to two ducts on the left or a single duct which is quite high.

Surgical decompression can be achieved with total or partial portal systemic shunts or by selection variceal decompression.

Total shunts divert all the portal flow to the systemic circulation. Partial shunts maintain some portal flow to the liver. Selective shunts only decompress gastroesophageal varices and maintain portal hypertension and flow to the liver. Read on for answer...